边缘型人格障碍大学生潜在防御机制.docVIP

边缘型人格障碍大学生潜在防御机制【摘 要】 目的:通过防御机制评定系统(Defense Mechanism Manual for the TAT,DMM)探索边缘型人格障碍患者无意识内容的防御机制特点。方法:用人格诊断问卷(Personality Diagnostic Questionnaire ,PDQ-4+)进行筛查,从边缘型得分≥7的254名大学生中,用人格障碍定式临床检查确诊边缘型人格障碍者(borderline personality disorder)62人,从中按边缘型得分由高到低选取30名为BPD组;从边缘型得分2的学生中按边缘型得分选取30名为对照组。施测主题统觉测验,运用DMM系统评定两组被试的防御机制类型得分。结果:(1)BPD组不成熟集合得分高于对照组[(7.50±2.13)vs.(2.97±1.43),P0.01];BPD组不成熟否认得分高于对照组[(2.47±1.54)vs.(1.03±0.91),P0.01],BPD组不成熟投射得分高于对照组[(4.97±1.73)vs.(2.31±1.50),P0.01];BPD组成熟否认得分显著低于对照组[(0.17±0.38)vs.(0.90±0.94),P0.01]。(2)回归分析得到边缘得分与防御机制的逐步回归方程:边缘得分=-1.066+1.061×不成熟投射+0.851×不成熟否认。结论:边缘型人格障碍患者多使用不成熟防御机制,主要表现在不成熟否认和不成熟投射两个方面。 【关键词】 边缘型人格障碍;主题统觉测验;防御机制;随机对照研究 中图分类号:R749.91 文献标识码:A 文章编号:1000-6729(2010)004-0275-04 doi:10.3969/j.issn.1000-6729.2010.04.省略 【Abstract】 Objective:To explore the defense mechanisms character of the borderline personality disorder(BPD)with the defense mechanisms manual(DMM)for the Thematic Apperception Test(TAT).Methods:Thirty BPD students were chosen from 254 students who were assessed with the Personality Diagnostic Questionnaire(PDQ-4+)and Structured Clinical Interview For DSM-Ⅲ-R Personality Disorders(SCID-Ⅱ),while 30 non-BPD students were chosen from whose score of PDQ4+ were less than 2.The scores of defense mechanisms assessed from TAT stories of the two groups were compared.Results:(1)The immature defense mechanisms of the BPD were significantly higher than that of non-BPD[(7.50±2.13)vs.(2.97±1.43),P0.01].The immature denial[(2.47±1.54)vs.(1.03±0.91)]and immature projection[(4.97±1.73)vs.(2.31±1.50)]in BPD group were significantly higher than that in non-BPD group(P0.01).The mature denial in BPD group was significantly lower than that in non-BPD group[(0.17±0.38)vs.(0.90±0.94),P0.01].(2)The stepwise regression equation was as follows.The BPD score = -1.066+ 1.061 × immature projection score + 0.851 ×immature denial score.Conclusion:Compared with the non-BPD,the BPD patients use more immature defense mechanisms that appear as